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07/22J97 TUE 08:38 FAX 1 970 3S1 51I70 ST FARM - FRONTIER AUTO 0 003 <br /> 25AK8 - 22I3A <br /> 6037F.1.1 CEWjm- CATE OFINSVICANCE Agast IS19 <br /> AFO 622 <br /> ws is to asitify that: <br /> Slain Fawn Fi m and Ca=Wty CoMnanv _of 131aau�gton, <br /> I111noit hus aovc=gv in force os sbawnbelow fb rft naawd inmacd. If aw covenge is dmnged or teamiaalcd we will give 10 <br /> days Wr dim notice to <br /> STATE OF C01_13RADD <br /> DIVISION OF MINERALS &. GEOLOGY <br /> 1313 S MERMA ST ROOM 21S <br /> DENVFR CO 80a293 <br /> 1>-sor3Pd0m of Vcluale: 1980 ern-:XNATI. D2127KG821821 <br /> i„IAZKX Y.COVERAGE A <br /> Limits of Liability <br /> Bodily IjaY Prvpwty Damma Bodily I*w rmd pmp=iy 1}.anags <br /> oachpstaate cash aaadeM each accident Saislo Lin.& <br /> $ ( S i S $ 750NO "cli accident <br /> This Cm1irmala of bmwm m does not change ib}ooverage provided by the described policy- <br /> Planed Insured WA1ZD R AY M <br /> Policy Ahurber 966 3723-130646I <br /> EZockivo Data, JM 18 1997 Coub d �. <br /> 12:0I A u <br /> M.Srd Time <br /> (df371?]a <br /> 1, <br /> 07 22 97 09:42 TX/RX N0.2341 P.003 <br /> Z00[n SNI iiUA HMS V09tSHOL6 XV3 W OT - L6/ZZ/LO <br />